1369 Advocacy Analytics and Impact Communications, American Cancer Society Cancer Action Network, Atlanta, GA, USA.
Current affiliation: Public Health, NORC at the University of Chicago, Chicago, IL, USA.
Public Health Rep. 2021 Jul-Aug;136(4):397-402. doi: 10.1177/0033354920971717. Epub 2021 Jan 13.
Using low-dose computed tomography (LDCT) to screen for lung cancer is associated with improved outcomes among eligible current and former smokers (ie, aged 55-77, at least 30-pack-year smoking history, current smoker or former smoker who quit within the past 15 years). However, the overall uptake of LDCT is low, especially in health care settings with limited personnel and financial resources. To increase access to lung cancer screening services, the American Cancer Society partnered with 2 federally qualified health centers (FQHCs) in Tennessee and West Virginia to conduct a pilot project focused on developing and refining the LDCT screening referral processes and practices. Each FQHC was required to partner with an American College of Radiology-designated lung cancer screening center in its area to ensure high-quality patient care. The pilot project was conducted in 2 phases: 6 months of capacity building (January-June 2016) followed by 2 years of implementation (July 2016-June 2018). One site created a sustainable LDCT referral program, and the other site encountered numerous barriers and failed to overcome them. This case study highlights implementation barriers and factors associated with success and improved outcomes in LDCT screening.
使用低剂量计算机断层扫描（LDCT）筛查肺癌与改善合格的现吸烟者和前吸烟者（即年龄在 55-77 岁，至少有 30 包年吸烟史，目前吸烟或在过去 15 年内戒烟）的结局相关。然而，LDCT 的总体采用率较低，尤其是在人员和财务资源有限的医疗保健环境中。为了增加获得肺癌筛查服务的机会，美国癌症协会与田纳西州和西弗吉尼亚州的 2 家合格的联邦健康中心（FQHC）合作，开展了一个试点项目，重点是开发和完善 LDCT 筛查转诊流程和实践。每个 FQHC 都必须与其所在地区的美国放射学院指定的肺癌筛查中心合作，以确保为患者提供高质量的护理。该试点项目分两个阶段进行：6 个月的能力建设（2016 年 1 月至 6 月），然后是 2 年的实施（2016 年 7 月至 2018 年 6 月）。一个地点创建了一个可持续的 LDCT 转诊计划，而另一个地点遇到了许多障碍，无法克服这些障碍。本案例研究强调了 LDCT 筛查实施障碍和与成功及改善结果相关的因素。
